MEDICARE: IVANNA MENDEZ DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT026601	PA

General Provider Information

NPI Number	:	1073020137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVANNA MENDEZ DPT

Provider Business Mailing Address
First Line	:	PO BOX 676
Second Line	:
City	:	READING
State	:	PA
Zip	:	19607-0676
Country	:	US
Telephone Number	:	610-796-9687
Fax Number	:	610-796-9391

Provider Business Practice Location Address
First Line	:	600 HIGH BLVD
Second Line	:
City	:	READING
State	:	PA
Zip	:	19607-2155
Country	:	US
Telephone Number	:	610-796-9687
Fax Number	:	610-796-9391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2018
Last Update Date	:	05/12/2025

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Directions to “ IVANNA MENDEZ DPT” Practice Location

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